1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Psychiatry Neurology
  6. NPI Profile

VA MEDICAL CENTER OF WEST LA
NPI 1962269100
Psychiatry & Neurology - Addiction Psychiatry in Los Angeles, CA

Active since March 04, 2024
11301 WILSHIRE BLVD BLDG 402, LOS ANGELES, CA 90073(310) 268-3269 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Va Medical Center Of West La NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VA MEDICAL CENTER OF WEST LA (NPI 1962269100) is a healthcare organization registered as an addiction psychiatry in Los Angeles, California and active in the NPI registry since March 2024. The organization lists Steven Simon, Chief Of Staff, as its authorized official.

NPPES Registry Identity

NPI1962269100
Entity TypeOrganization
Primary Taxonomy2084P0802X
Legal Business NameVA MEDICAL CENTER OF WEST LA
Location Address11301 WILSHIRE BLVD BLDG 402Los Angeles, CA 90073-1003
Mailing Address11301 Wilshire Blvd Bldg 210aLos Angeles, CA 90073-1003 · (310) 478-3711
Phone(310) 268-3269
Organization SubpartNo
Authorized OfficialSteven SimonChief Of Staff · (310) 478-3711
Enumeration DateMarch 4, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1962269100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
11301 WILSHIRE BLVD BLDG 402, Los Angeles, CA 90073
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DERRICK ANTHONY WRIGHT LCSW
Social Worker (Clinical)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
STEPHANIE YOM FNP-BC
Nurse Practitioner (Family)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
DANIEL EWING CRNP
Nurse Practitioner (Family)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
LUIS RENE CARRILLO DNP, RN
Nurse Practitioner (Psychiatric/Mental Health)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 268-3566
DR. YOUNG SOHN SONG PH.D.
Psychologist (Counseling)
11301 WILSHIRE BLVD BLDG 402, VA GREATER LOS ANGELES HEALTHER CARE SYSTEM
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MR. ROBERT MICHAEL QUEVEDO NP
Nurse Practitioner (Primary Care)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
JAYME MORENO NEWBERRY AGPCNP-BC
Nurse Practitioner
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MINO CHOUGH
Nurse Practitioner (Primary Care)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is VA Medical Center Of West La's NPI number?

The NPI number for VA Medical Center Of West La is 1962269100. It was assigned to this organization in the NPPES registry on March 4, 2024.

Where is VA Medical Center Of West La located?

VA Medical Center Of West La is located at 11301 Wilshire Blvd Bldg 402, Los Angeles, CA 90073. The listed phone number is (310) 268-3269.

What is VA Medical Center Of West La's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

When was this NPI record last updated?

The NPPES record for VA Medical Center Of West La was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.